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Based on the T1WI data of 43 classical trigeminal neuralgia patients and 45 controls, we constructed morphological similarity networks of cortical thickness, sulcal depth, fractal dimension, and gyrification index. Moreover, causal structural covariance network analyses were conducted in regions with morphological abnormalities or altered nodal properties, respectively. We found that patients showed reduced sulcal depth, gyrification index, and fractal dimension, especially in the salience network and the default mode network. Additionally, the integration of the fractal dimension and sulcal depth networks was significantly reduced, accompanied by decreased nodal efficiency of the bilateral temporal poles, and right pericalcarine cortex within the sulcal depth network. Negative causal effects existed from the left insula to the right caudal anterior cingulate cortex in the gyrification index map, also from bilateral temporal poles to right pericalcarine cortex within the sulcal depth network. Collectively, patients exhibited impaired integrity of the covariance networks in addition to the abnormal gray matter morphology in the salience network and default mode network. Furthermore, the patients may experience progressive impairment in the salience network and from the limbic system to the sensory system in network topology, respectively.<\/jats:p>","DOI":"10.1093\/cercor\/bhae337","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T03:22:21Z","timestamp":1723260141000},"source":"Crossref","is-referenced-by-count":2,"title":["A causal effect study of cortical morphology and related covariate networks in classical trigeminal neuralgia patients"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7326-0652","authenticated-orcid":false,"given":"Pengfei","family":"Zhang","sequence":"first","affiliation":[{"name":"Huaxi MR Research Center (HMRRC) , Department of Radiology, , No. 37 Guoxue Lane, Wuhou District, Chengdu, Sichuan 610041, China"},{"name":"West China Hospital of Sichuan University , Department of Radiology, , No. 37 Guoxue Lane, Wuhou District, Chengdu, Sichuan 610041, China"},{"name":"Department of Magnetic Resonance, The Second Hospital & Clinical Medical School, Lanzhou University , Cuiyingmen No. 82, Chengguan District, Lanzhou 730000, China"},{"name":"Gansu Province Clinical Research Center for Functional and Molecular Imaging , The Second Hospital & Clinical Medical School, Lanzhou University, Cuiyingmen No. 82, Chengguan District, Lanzhou 730030, China"},{"name":"Gansu Medical MRI Equipment Application Industry Technology Center , The Second Hospital & Clinical Medical School, Lanzhou University, Cuiyingmen No. 82, Chengguan District, Lanzhou 730030, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5464-1941","authenticated-orcid":false,"given":"Xinyue","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Huashan Hospital, Fudan University , No. 12, Urumqi Middle Road, Jingan District, Shanghai 200040, 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